Chest pains and heard murmur?

[Rachel]

I am a 27 year old female fairly active and I occassionally get sever chest pains.  I know that I have had them at least from the age of 15.  At that time my chest used to pop and that's how I knew that it would be gone.  I dreaded the popping because they were worse than the chest pains themselves.  My chest doesn't pop anymore but I still get the pains.  I have tried everything from watching what I eat to exercising more and nothing seems to work.  I eat at least a couple of hours before bed but it doesn't make a difference.  It happens when I am resting, active, after a glass of water, after a coke, eating a salad or eating burgers.  I have been to the emergency room plenty of times and they NEVER find anything wrong. I have been checked for holes in my lung, had EKG's, and some doctors say it can't be plurasy. Then recently I went for a basic employment physical and the Dr. said I have a heart murmur and that the pains could definitely be plurasy.  The heart murmur was not a HUGE deal but with the unexplained chest pains he says I should have it checked further.  I went back to the doctor and NOTHING.  I have been on different medications from ibuprofen, to muscle relaxers.  The Dr.'s say that they wouldn't even rule out that my asthma may have something to do with it.....any advice?

[CCF CARDIO MD JMF]

First, I would have this murmur fully evaluated with an echocardiogram to see if this is an innocent flow murmur or if it may represent a leaky valve.  There would be different clinical ramifications if this were a leaky valve.

As far as the chest pain, there a multiple causes of chest pain including musculoskeletal, GI, lungs or heart pain.

In your age group this is a diagnosis of exclusion.

[reny1965]

A related discussion, chestpain and left neck, arm and scapular pain was started.